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1144394230
LOLETH BAUTISTA
OAK LAWN, IL
NPI
1144394230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070012922)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
LOLETH BAUTISTA
4425 W 95TH ST
OAK LAWN, IL 60453-7221
Phone number: 708-422-4441
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Mailing Address
LOLETH BAUTISTA
1003 HAYES CT
VERNON HILLS, IL 60061-1313
Phone number: 708-422-4441
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